MRS. JENAYE KARIN BROE FNP-C
NPI 1154817633
Nurse Practitioner - Family in Fayetteville, NY

Q: What is Jenaye Broe's NPI number?

The NPI number for Jenaye Broe is 1154817633. It was assigned to this individual provider in the NPPES registry on July 8, 2018.

Q: What is Jenaye Broe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jenaye Broe was last updated on July 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 08, 2018PECOS Enrolled

4000 MEDICAL CENTER DR STE 110, FAYETTEVILLE, NY 13066(315) 663-0100 Get Directions Write a Review

NPPES record last updated: July 8, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mrs. Jenaye Karin Broe Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENAYE KARIN BROE FNP-C (NPI 1154817633) is an individual family provider in Fayetteville, New York, licensed in New York (F343229-1) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154817633

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JENAYE KARIN BROECredential: FNP-C

Location Address4000 MEDICAL CENTER DR STE 110Fayetteville, NY 13066-6631

Mailing Address113 Red Barn CirLiverpool, NY 13088-4988 · (607) 287-2461

Phone(315) 663-0100

Sole ProprietorNo

Enumeration DateJuly 8, 2018

✔ NPI 1154817633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F343229-1

4000 MEDICAL CENTER DR STE 110, Fayetteville, NY 13066

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jenaye Karin Broe Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jenaye Broe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr. Fazeli & Dr. Broumand LLC

0.2 mi

Dermatology

4110 MEDICAL CENTER DR
Fayetteville, NY 13066

Reassigned Medicare billing, New York enrollment
15 clinicians in this Medicare group

NPI 1336235639 (315) 663-0100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenaye Broe's NPI number?

The NPI number for Jenaye Broe is 1154817633. It was assigned to this individual provider in the NPPES registry on July 8, 2018.

Where is Jenaye Broe located?

Jenaye Broe practices at 4000 Medical Center Dr Ste 110, Fayetteville, NY 13066. The listed phone number is (315) 663-0100.

What is Jenaye Broe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jenaye Broe enrolled in Medicare?

Yes. Jenaye Broe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jenaye Broe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenaye Broe reassigns Medicare benefits to Dr. Fazeli & Dr. Broumand LLC (Fayetteville, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenaye Broe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jenaye Broe was last updated on July 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.